LEWISPORT REST HOME I LLC
NPI 1871306035
Assisted Living Facility - Assisted Living, Mental Illness in Lewisport, KY

Q: What is Lewisport Rest Home I LLC's NPI number?

The NPI number for Lewisport Rest Home I LLC is 1871306035. It was assigned to this organization in the NPPES registry on January 30, 2025.

Q: What is Lewisport Rest Home I LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since January 30, 2025

1580 4TH ST, LEWISPORT, KY 42351(516) 708-3503 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Lewisport Rest Home I Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEWISPORT REST HOME I LLC (NPI 1871306035) is a healthcare organization registered as an assisted living, mental illness in Lewisport, Kentucky and active in the NPI registry since January 2025. The organization lists Raquel Edery, Coo, as its authorized official.

NPPES Registry Identity

NPI1871306035

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameLEWISPORT REST HOME I LLC

Location Address1580 4TH STLewisport, KY 42351-2529

Mailing Address455 Central Ave Ste 215Cedarhurst, NY 11516-2008 · (516) 708-3503

Phone(516) 708-3503

Organization SubpartNo

Authorized OfficialRaquel EderyCoo · (516) 708-3503

Enumeration DateJanuary 30, 2025

NPPES CertifiedJanuary 30, 2025

✔ NPI 1871306035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

1580 4TH ST, Lewisport, KY 42351

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lewisport Rest Home I LLC's NPI number?

The NPI number for Lewisport Rest Home I LLC is 1871306035. It was assigned to this organization in the NPPES registry on January 30, 2025.

Where is Lewisport Rest Home I LLC located?

Lewisport Rest Home I LLC is located at 1580 4th St, Lewisport, KY 42351. The listed phone number is (516) 708-3503.

What is Lewisport Rest Home I LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Lewisport Rest Home I LLC was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.